raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:163985

Hyperekplexia-epilepsy syndrome

Type
Disease
Group
Disorder
Inheritance
X-linked recessive
Age of onset
Neonatal
Status
active

A rare, X-linked, syndromic intellectual disability disease characterized by neonatal hypertonia which evolves to hypotonia and an exaggerated startle response (to sudden visual, auditory or tactile stimuli), followed by the development of early-onset, frequently refractory, tonic or myoclonic seizures. Progressive epileptic encephalopathy, intellectual disability, and psychomotor development arrest, with subsequent decline, may be additionally associated.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enHyperekplexia-epilepsy syndrome
frSyndrome d'hyperexplexie-épilepsie
deHyperekplexie - Epilepsie
esSíndrome de hiperekplexia-epilepsiaSíndrome de hiperecplexia-epilepsia · Síndrome de hiperplexia-epilepsia
itSindrome da iperecplessia ed epilessia
nlHyperekplexie - epilepsie-syndroom
ptSíndrome de hiperecplexia-epilepsia
plHiperekpleksja - padaczka
csSyndrom zahrnující hyperekplexii a epilepsii
ukСиндром гіперексплексії-епілепсії
zh早期婴儿型癫痫性脑病8型
trHiperekspleksi-epilepsi sendromu

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM300607Evalidated
ICD-10G25.8NTBTattributedvalidated
MONDO0010375Evalidated
UMLSC5191643Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (3):

No children.

4

Genes

1 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
ARHGEF9Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:14561ENSG00000131089300429Xq11.1Cdc42 guanine nucleotide exchange factor 920301437[PMID]
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Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families4 casesWorldwideCase(s)Validated30078784[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET_30078784[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

9 annotations · validated 2019-04-12
HPOTerm (as annotated by Orphanet)Diagnostic
Frequent (79-30%)
HP:0002376Developmental regression
HP:0012018EEG with temporal focal spikes
HP:0200134Epileptic encephalopathy
HP:0002267Exaggerated startle response
HP:0002384Focal impaired awareness seizure
HP:0010818Generalized tonic seizure
HP:0001276Hypertonia
HP:0007333Hypoplasia of the frontal lobes
Occasional (29-5%)
HP:0000243Trigonocephaly

Annotation source: 23153204[PMID]_21633362[PMID]_15215304[PMID]

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Sources for this card